Search › California › 207PP0204X
Jon Detterich, MD
NPI 1659518884 · on the registry since 2009
Practice
- Address
- 4650 W Sunset Blvd
Ms #113
Los Angeles, CA 90027 - Phone
- (323) 361-2109
- Organisation at this address
- Chlamg-Pathology Lp
Chla Usc-Ucedd Nutrition
Altamed Health Services Corp.
Children'S Hospital Los Angeles
Children'S Hospital Los AngelesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,302
Registry record
- Primary taxonomy
- 207PP0204X
207PP0204X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California